某医科大学在校生亚健康及其与述情障碍的相关性分析  

Relationship of sub-health and alexithymia among medical students

作　　者：刘从云[1] 陶芳标[2] 吴强[3] 万宇辉[2] 王润玲[1] 

机构地区：[1]安徽医科大学第一临床学院,合肥230032 [2]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032 [3]安徽医科大学基础医学院病理学教研室,合肥230032

出　　处：《第三军医大学学报》2010年第12期1343-1346,共4页Journal of Third Military Medical University

基　　金：国家高技术研究发展计划(863计划;2006AA02Z427)~~

摘　　要：目的了解医学生亚健康状态及其与述情障碍的相关性。方法选取某医科大学临床医学及其相关专业2505名学生,运用《青少年亚健康多维评定问卷》和《多伦多述情障碍量表》分别评定亚健康状态和述情障碍,采用多因素非条件Logistic回归法分析医学生亚健康状态与述情障碍的关系。结果男生躯体、心理亚健康状态的检出率分别为7.7%、5.9%,女生分别为8.6%、5.5%,两组间比较差异均无统计学意义(P>0.05);单变量分析中,述情障碍及其3个因子与躯体和心理亚健康显著相关(除外向性思维和心理亚健康);在控制人口统计学指标等混杂因素后,躯体亚健康状态以七年制临床医学专业学生最高,述情障碍得分>P75为其危险因素(P<0.05),"母亲文化程度为小学"是躯体亚健康的保护因素(P<0.01);心理亚健康状态以5年制临床相关专业最低,父亲和自己生活的家庭类型、识别情感不能得分>P50是危险因素(P<0.05)。结论亚健康状态在医学生中十分常见,述情障碍可能是医学生亚健康状态发生的危险因素。Objectives To investigate the self-reported rates of sub-health and explore the relationship between sub-health and alexithymia. Methods A total of 2 505 students majoring in clinical medicine or other related subjects from a certain medical university are selected. Multidimensional Sub-health Questionnaire of Adolescents （MSQA） and Toronto Alexithymia Scale （TAS） were investigated. Multiple unconditional logistic regression analysis was used to analyze the relationship between sub-health and alexithymia. Results The rates of physical,psychological sub-health and psychosomatic sub-health status in boys were 7.7% and 5.9% respectively,while the results among female students were 8.6% and 5.5% respectively. The rates between sexes were not significantly different （P0.05）. In univariate analysis,alexithymia with its 3 factors is relevant to physical and psychological sub-health （apart from extroversion thinking and psychological sub-health）. When the confounding factors like demographic index were in control,as for physical sub-health,seven-year students got the highest scores,and alexithymia score P75 was the risk factor （P0.05）,while subjects＇ mothers＇ educational background being elementary school was a protective factor （P0.01）. As for psychological sub-health,the five-year students got the lowest scores,and the condition of fathers,type of families and alexithymia coreP50 were risk factors （P0.05）. Conclusion The sub-health status is quite common among medical students,and alexithymia may be its risk factor.

关 键 词：健康状况 情绪障碍 学生 医科 

分 类 号：R192[医药卫生—卫生事业管理] R195[医药卫生—公共卫生与预防医学]